Individual
DR. MOIRA P RIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 COURT ST, SUITE 330, LEBANON, NH 03766-1358
(603) 442-9393
(603) 442-9393
Mailing address
1 COURT ST, SUITE 330, LEBANON, NH 03766-1358
(603) 442-9393
(603) 442-9393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
048-852
VT
103TC0700X
Clinical Psychologist
Primary
1076
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068590
BCBSVT PROVIDER NUMBER
VT
01
—
06Y008268VT01
ANTHEM BCBS PROVIDER NUMB
NH
05
—
1011090
—
VT
01
—
789467000
MAGELLAN PROVIDER NUMBER
VT
Enumeration date
07/04/2006
Last updated
02/28/2015
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